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Provider Profile

Jacob Clark, APRN, PMHNP-BC

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At a glance

About Jacob Clark

Jacob Clark, APRN, PMHNP-BC is a nurse practitioner — psychiatric/mental health practicing in Draper, UT. Jacob trained at Vanderbilt University School of Medicine, graduating in 2022. This provider record is associated with NPI 1487009957.

Factual summary compiled by Guide.md from public records; not written by this provider.

Credentials & Licensing

UT licenceAs reported to the NPI registry
No. 8480668-4405As reported
NPINational Provider Identifier
1487009957Issued 2016

As reported to the NPI registry ↗

Medicare information

Accepts Medicare assignmentYes
Telehealth reported to CMSYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What kind of doctor is Jacob Clark, APRN?

Jacob Clark, APRN is a nurse practitioner in Draper, UT. That is the designation recorded for this NPI in the federal registry, where it is listed as “Nurse Practitioner — Psychiatric/Mental Health”.

NPI registry

What is Jacob Clark, APRN's address?

Jacob Clark, APRN is listed at 138 E 12300 S Unit 860, Draper, UT 84020. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How can I make an appointment with Jacob Clark, APRN?

The number on file is (801) 449-1429. Contact the office directly to confirm availability and scheduling.

NPI registry

What is the NPI for Jacob Clark, APRN?

Jacob Clark, APRN's National Provider Identifier is 1487009957. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Jacob Clark, APRN train?

Jacob Clark, APRN attended Vanderbilt University School of Medicine, graduating in 2022. This comes from the CMS National Downloadable File.

CMS public data

How much experience does Jacob Clark, APRN have?

Jacob Clark, APRN has 4 years experience. Calculated from a graduation year of 2022, reported in the CMS National Downloadable File.

CMS public data

Is Jacob Clark, APRN's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Jacob Clark, APRN. If this is you, claiming it is free.

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